Individual provider Active NPI

Brandi Leigh Hurst, P.T.

  • Physical Therapist
  • Blytheville, AR
National Provider Identifier
1972583250
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2124 Issued in AR
Practice address
1401 E Moultrie Dr
Blytheville, AR 72315-6822
Phone
(870) 762-5000
Fax
(870) 762-6688
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2124 AR Primary

Addresses

Primary practice location

1401 E Moultrie Dr
Blytheville, AR 72315-6822

Mailing address

PO Box 316
Monette, AR 72447-0316
Phone (870) 486-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211001048 AR Practitioner - Physical Therapist in Private Practice 8224933809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy, PLCGroup PAC ID 7810892486, 2 clinicians

Practice addresses (Care Compare)

1401 E Moultrie Dr
Blytheville, AR 72315-6855
Phone (870) 762-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2124ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, PLC Physical Therapist CurrentSince Oct 1, 2003 Accepting new patients

Locations

1401 E Moultrie Dr
Blytheville, AR 72315
Phone (870) 762-5000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302048000000",
    "number": "1972583250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "MONETTE",
            "state": "AR",
            "postal_code": "724470316",
            "telephone_number": "870-486-1213",
            "fax_number": "870-762-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E MOULTRIE DR",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723156822",
            "telephone_number": "870-762-5000",
            "fax_number": "870-762-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURST",
        "first_name": "BRANDI",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blytheville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.